Garuda - Garba Rujukan Digital

ANALISIS BUERGER ALLEN EXERCISE DALAM MEMPERBAIKI SIRKULASI DARAH PERIFER PASIEN DM TIPE 2: LITERATURE REVIEW Siahaan, Joni; Chandra Rahmadi; Indah Ambarwati Iraningrum; M. Agung Akbar
Cakrawala Medika: Journal of Health Sciences Vol. 3 No. 1 (2024): Cakrawala Medika: Journal of Health Sciences
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Medika Suherman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59981/qdcttq81

Komplikasi Diabetes Mellitus dibagi menjadi 2 yaitu mikrovaskular dan makrovaskular, komplikasi makrovaskular meliputi penyakit kardiovaskular, stroke, dan penyakit pembuluh darah perifer. Penyakit pembuluh darah perifer dapat menyebabkan memar atau luka yang tak kunjung sembuh, gangren sehingga dapat menyebabkan tindakan diamputasi, mati rasa atau baal, dan nyeri. Tujuan dari penelitian literature review ini adalah untuk menganalisis intervensi Buerger Allen Exercise (BAE) dalam memperbaiki sirkulasi darah perifer pasien DM Tipe 2. Metode penelitian yang digunakan adalah Literature Review dengan desain Narrative Review. Pencarian artikel dilakukan berdasarkan data base online terdiri dari Google Scholar, PubMed, dan Proquest. Dari 5 artikel yang dibahas dalam Literature Review ini ditemukan bahwa pemberian intervensi berupa BAE pada ke 4 artikel diatas memiliki kesamaan dalam pemberian dosis pada kelompok perlakuan yakni diberikan intervensi sebanyak 2x/sehari pada pagi dan sore hari. Variasi pemberian dosis intervensi BAE sebanyak 2x/sehari pagi dan sore hari selama 15-20 menit dalam 5 hari berturut-turut, sedangkan 1 jurnal lainnya berbeda yakni dosis pada kelompok perlakuan sebanyak 5x/sehari selama 3-5 menit dalam 4 hari berturut-turut. Pemberian intervensi BAE dapat di evaluasi dengan pengukuran Ankle Brachial Index (ABI) dengan alat ukur doppler, sphmomanometer, dan stetoskop dan sphygmomanometer digital. Penerapan intervensi BAE paling efektif dilaksanakan sebanyak 2x/sehari (pagi 09.00, sore 15.00) selama 15 menit dalam 5 hari berturut-turut. Pengukuran ABI dapat dilakukan menggunakan alat sederhana sphmomanometer dan stetoskop atau sphygmomanometer digital.

Edukasi Penerapan Relaksasi Benson Terhadap Manajemen Stress Pada Pasien Lansia Dengan Hipertensi Ferdi, Roni; Akbar, M Agung; Charista, Rysha; Siahaan, Joni
Lentera Perawat Vol. 4 No. 1 (2023): Lentera Perawat
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v4i1.183

Hipertensi sering disebut sebagai silent killer karena jumlah penyandang hipertensi terus meningkat setiap tahunnya. Salah satu terapi non farmakologi dalam menurunkan tekanan darah yaitu dengan teknik relaksasi. Tujuan : Untuk mengetahui Asuhan Keperawatan Hipertensi dengan Edukasi Relaksasi Benson Untuk Menurunkan Tekanan Darah Pada Lansia di Wilayah Kerja UPTD Puskesmas Tanjung Baru Tahun 2022. Metode: Penulis menggunakan metode deskripsi, dengan pendekatan Studi Kasus penelitian, studi kasus ini dilakasanakan pada 2 Pasien Hipertensi. Data ini diperoleh dengan cara yaitu : wawancara, pemeriksaan, observasi aktivitas, memperoleh catatan. Hasil : Setelah dilakukan tindakan keperawatan selama 3 hari diagnosa: Perfusi perifer tidak efektif berhubungan dengan peningkatan tekanan darah dan Defisit Pengetahuan berhubungan dengan kurang terpapar informasi tentang Relaksasi Benson. Dalam implementasi sebagian besar telah sesuai dengan rencana tindakan yang telah diterapkan dan masalah teratasi. Kesimpulan : Adanya penelitian tentang Hipertensi dengan edukasi Relaksasi Benson pada pasien dan keluarga lebih mengerti dan paham sangat di perlukan untuk keberhasilan asuhan keperawatan pada pasien dapat dilaksanakan dengan baik. Saran : Diharapkan pasien dapat meningkatkan pengetahuan tentang kesehatan Hipertensi lebih optimal.

Efek Strength Exercise terhadap Penurunan Gejala Akut pada Pasien dengan Rheumatoid Arthritis Veranita, Aprillia; Rahmadi, Chandra; Siahaan, Joni
Journal of Telenursing (JOTING) Vol. 7 No. 5 (2025): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/0qe48n28

This study aims to determine the effect of strength exercise on reducing acute symptoms in rheumatoid arthritis. The design used is a Quasi Experiment with a two-group pretest-posttest model. The study sample consisted of 74 respondents divided into two groups: 37 respondents in the strength exercise group and 37 respondents in the education group. The sampling technique used random sampling. Data analysis was performed using the Wilcoxon test. The results showed that there were differences in the degree of knee flexion range of motion before and after doing Strength exercise in weeks 1, 2, 3, and 4. The increase occurred in week 1 (p value = 0.046), week 3 (p value = 0.005) and 4 (p value = 0.001). differences in pulse frequency before and after doing Strength exercise in weeks 1, 2, 3, and 4. The increase occurred in week 1 (p value = 0.046), week 2 (p value = 0.33), week 3 (p value = 0.005) and 4 (p value = 0.001). There was a difference in the level of knowledge of respondents before and after education. Before education, there were no respondents with good knowledge, 4 (10.8%) had sufficient knowledge, and 33 (89.2%) had poor knowledge. After education, 5 (13.5%) had good knowledge, 11 (29.7%) had sufficient knowledge, and 21 (56.8%) had poor knowledge. Conclusion: Strength exercise and education have an effect on reducing acute RA symptoms. Recommendation: Strength exercise is a good independent nursing intervention to improve patient muscle strength. Keywords: Strength exercise, Rheumatoid Arthritis, Reduction of Acute Symptoms

Pengaruh Edukasi Metode Inokulasi Terhadap Perubahan Sikap Masyarakat Pada Hoaks Vaksinasi Covid-19 Siahaan, Joni; Rahmadi, Chandra; Chaidar, Muhammad; Akbar, M.Agung
Jurnal Skolastik Keperawatan Vol 10 No 1 (2024): Januari-Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Advent Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35974/jsk.v10i1.3375

Latar belakang: Rendahnya penerimaan vaksinasi COVID-19 sebagai upaya pengendalian penyebaran dan pencegahan penyakit masih menjadi fenomena yang belum terselesaikan. Tingkat kepercayaan masyarakat terhadap vaksinasi COVID-19 tampak masih rendah dan bervariasi. Inovasi intervensi pendidikan kesehatan diperlukan untuk menghadapi hoaks vaksinasi COVID-19. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi metode inokulasi terhadap perubahan sikap masyarakat pada hoaks vaksinasi COVID-19. Metode: Jenis penelitian ini adalah kuantitatif dengan pendekatan Quasi Eksperimental Design. Kelompok subjek penelitian dengan perlakuan pendidikan kesehatan metode inokulasi. Pemilihan sampel yang dilakukan adalah non-probability sampling dengan pendekatan quota sampling. Jumlah sampel kelompok intervensi adalah 34 orang. Hasil: uji t berpasangan terdapat nilai signifikan = 0,000 dengan arti edukasi metode inokulasi efektif untuk meningkatkan sikap masyarakat terhadap hoaks vaksinasi COVID-19. Diskusi: Hasil penelitian ini dapat menjadi bekal dan motivasi bagi masyarakat untuk menerima vaksinasi COVID-19. Pengambil kebijakan dapat mengembangkan edukasi metode inokulasi sebagai strategi menghadapi serangan hoaks vaksinasi COVID-19 di masyarakat.

Effectiveness of modern dressing in wound care for breast cancer patients: A systematic review Siahaan, Joni; Pohan, Dessy Syahfitri; Harissya, Zulaika; Armi, Armi; Setiawan, Yana; Nurshadrina, Kharina; Estiadewi, Primaloya Septiavy
Indonesian Journal of Health Services Vol. 3 No. 1 (2026): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v3i1.142

Background: Breast cancer patients frequently experience wound complications following surgery, radiotherapy, or disease progression, which may negatively affect healing outcomes, comfort, and quality of life. Modern dressing technologies have been developed to improve wound management through antimicrobial, hemostatic, protective, and moisture-balancing properties. Objective: This systematic review aimed to evaluate the effectiveness of modern dressings in wound care for breast cancer patients by synthesizing current clinical evidence on infection prevention, radiation dermatitis control, bleeding management, symptom relief, and patient-centered outcomes. Methods: This study employed a systematic literature review design following the PRISMA 2020 guidelines. A comprehensive search was conducted in PubMed, Scopus, ScienceDirect, ProQuest, and Google Scholar for studies published between 2013 and 2023 in English and Indonesian. Eligible studies included randomized controlled trials, quasi-experimental, and prospective clinical studies examining modern dressing or topical interventions in breast cancer wound care. Data extraction and risk of bias assessment were performed independently by two reviewers, and findings were synthesized narratively due to methodological heterogeneity. Results: Eleven studies met the inclusion criteria. Modern dressings demonstrated effectiveness in reducing surgical site infections, minimizing radiation dermatitis severity, controlling bleeding and exudate, reducing bacterial colonization, and improving patient comfort. Several interventions also showed positive effects on wound malodor reduction and quality of life improvement. Overall findings suggest that modern dressings provide multidimensional benefits in clinical and psychosocial aspects of wound management in breast cancer patients. Conclusion: Modern dressing strategies represent effective interventions for improving wound healing outcomes and patient well-being in breast cancer care. Integration of evidence-based dressing technologies into clinical practice may enhance both physiological recovery and holistic patient comfort, although further high-quality research is recommended to strengthen clinical guidelines.

Factors affecting the incidence of hypertension in the elderly: A literature review Annisa, Tia Nur; Siahaan, Joni; Kan, Achara; Sianwarta, Rattapong
Journal of Community Nursing and Primary Care Vol. 1 No. 2 (2024): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v1i2.38

Background: Hypertension is one of the most prevalent chronic conditions among older adults and represents a major contributor to cardiovascular morbidity and mortality worldwide. The occurrence of hypertension in the elderly is influenced by a complex interaction of lifestyle, psychosocial, behavioral, and environmental determinants that may affect blood pressure control and overall health outcomes. Objective: This study aimed to identify factors influencing the incidence of hypertension among elderly individuals through a comprehensive literature review. Methods: This study employed a literature review design following the PRISMA 2020 guideline to systematically identify, evaluate, and synthesize relevant evidence regarding determinants of hypertension among elderly populations. A comprehensive search was conducted in several scientific databases, including PubMed, ScienceDirect, and Google Scholar, using combinations of keywords related to hypertension, elderly populations, and associated risk factors. Studies published in peer-reviewed journals were screened based on predefined inclusion and exclusion criteria. Eligible studies were critically appraised using the Critical Appraisal Skills Programme (CASP) tool and synthesized using a narrative and thematic approach to identify major determinants associated with hypertension among older adults. Results: The review revealed that several interconnected factors contribute to the development of hypertension in the elderly. Lifestyle determinants such as unhealthy dietary patterns, physical inactivity, and obesity were consistently reported as primary contributors to increased blood pressure. Psychosocial factors, including limited family support and insufficient knowledge about hypertension, were also associated with poor disease management. Additionally, inadequate self-care practices and unfavorable environmental conditions, such as limited access to healthcare services and environments that do not support physical activity, were identified as important determinants influencing hypertension outcomes among elderly individuals. Conclusion: Hypertension in the elderly is influenced by a multifactorial interaction of lifestyle, psychosocial, behavioral, and environmental determinants. Comprehensive prevention and management strategies that integrate lifestyle modification, health education, strengthening family and social support, and improving elderly-friendly healthcare environments are essential to reduce hypertension risk and improve the quality of life among older adults.

The level of independence of children with intellectual disabilities in maintaining dental and oral hygiene at home: A literature review Siahaan, Joni; Setiawan, Yana; Harissya, Zulaika; Pohan, Dessy Syahfitri; Estiadewi, Primalova Septiavy; Nurshadrina, Kharina; Hernando, Zahfia Nadzwa Clarisa
Journal of Community Nursing and Primary Care Vol. 2 No. 1 (2025): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i1.99

Background: Limitations in cognitive and motor skills make these children more dependent on external support, particularly from their families. Family involvement is therefore considered an important factor in promoting independence and improving oral hygiene behaviors among children with intellectual disabilities. Objective: This study aimed to analyze the relationship between family support and the level of independence of children with intellectual disabilities in maintaining dental and oral hygiene at home. Methods: This study employed a literature review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. A systematic search was conducted in several scientific databases, including Google Scholar, ScienceDirect, and PubMed, using combinations of keywords related to family support, oral hygiene, intellectual disability, and children with special needs. Articles published between 2020 and 2025 were screened based on predefined inclusion and exclusion criteria. The quality of the selected studies was evaluated using the Critical Appraisal Skills Programme (CASP) tool. Results: Ten studies met the inclusion criteria and were included in the analysis. The findings consistently indicated a strong positive relationship between family involvement and the oral hygiene status of children with intellectual disabilities. Parental education, supervision, and training programs were shown to significantly improve children’s tooth-brushing behavior, reduce plaque accumulation, and enhance oral hygiene practices at home. However, several barriers were identified, including limited parental knowledge, inadequate supervision, and the motor and behavioral limitations experienced by children with intellectual disabilities. Conclusion: Family support plays a crucial role in improving the independence of children with intellectual disabilities in maintaining dental and oral hygiene at home. Strengthening family-based education, parental training, and supportive home-care interventions may enhance oral health outcomes and improve the overall quality of life of children with intellectual disabilities.

Relationship of parenting patterns in children aged 2-5 years with attitudes preventing stunting: A cross-sectional study Amalia, Fitri; Siahaan, Joni
Indonesian Journal of Health Services Vol. 2 No. 1 (2025): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i1.32

Background: Childhood stunting remains a major global public health problem that affects growth, development, and long-term health outcomes among children under five years of age. Parenting behavior and preventive health attitudes within families play an important role in supporting child nutrition and growth during early childhood. Objective: This study aimed to analyze the relationship between parenting patterns in children aged 2–5 years and parental attitudes toward stunting prevention. Methods: This study employed a quantitative cross-sectional design involving 65 parents who had children aged 2–5 years in the Tarumajaya Public Health Center area. Participants were selected using a purposive sampling technique based on predefined inclusion criteria. Data were collected using a structured questionnaire that assessed parenting patterns and attitudes toward stunting prevention. Data analysis was performed using descriptive statistics and Fisher’s Exact Test to determine the association between variables. Results: The results showed that most parents applied democratic parenting patterns (90.8%), followed by authoritarian (4.6%), neglectful (3.1%), and permissive parenting (1.5%). The majority of respondents demonstrated positive attitudes toward stunting prevention (96.9%). The Fisher Exact statistical test indicated that parenting patterns were not significantly associated with attitudes toward stunting prevention (p = 0.092). Conclusion: Most parents demonstrate positive attitudes toward stunting prevention regardless of parenting patterns. Strengthening parental education and community-based health promotion may enhance preventive practices related to child growth and nutrition.

Title

Found 8 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 8 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 8 Documents
Search